Organization
INTEGRATED HOME PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FORTUNE (VICE PRESIDENT)
(269) 479-3030
Entity
Organization
Contact information
Practice address
423 SYCAMORE ST STE 103, NILES, MI 49120-2374
(269) 479-3030
(269) 479-3032
Mailing address
423 SYCAMORE ST STE 101, NILES, MI 49120-2374
(269) 479-4040
(269) 479-4041
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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